Charge Audit Analyst, Full-Time/Days

Mercy Hospital St. Louis Critical Care Medicine Fellowship; St. Louis (MO); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Tuition support

Matched retirement plans

Job summary

Mercy Hospital St. Louis seeks a detail-oriented professional to perform a clinical charge audit, ensuring charges are captured per patient and that pre-certification is completed for all surgical cases.

The role requires prior billing or coding experience in a clinical setting and the ability to identify chargeable items, with collaboration across departments to resolve denials and improve accuracy. Mercy offers comprehensive benefits and a supportive team environment.

Qualifications

• Experience in billing and coding within a clinical setting.
• Strong attention to detail and accuracy in auditing.
• Able to communicate findings clearly with multiple departments.

Responsibilities

• Perform clinical audit of accuracy and completeness of patient charges.
• Ensure pre-certification is completed for all surgical patients.
• Investigate surgical case denials and collaborate with departments to resolve issues.

Skills

Billing and coding experience

Attention to detail

Strong communication

Education

High school diploma or GED

Job description

Find your calling at Mercy!

Performs a clinical audit of the accuracy and completeness of patient charges. The clinical charge audit is to ensure that all appropriate charges are captured per patient. Ascertains that pre-certification has been completed for all surgical patients and works collaboratively with other departments to accomplish it. Investigates surgical case denials.

Job Description

Find your calling at Mercy! Performs a clinical audit of the accuracy and completeness of patient charges. The clinical charge audit is to ensure that all appropriate charges are captured per patient. Ascertains that pre-certification has been completed for all surgical patients and works collaboratively with other departments to accomplish it. Investigates surgical case denials.

Position Details

Mercy St. Louis- Administration/Billing
615 S New Ballas Rd
Saint Louis, MO 63141

Education

High school diploma or GED required.

Experience

Previous clinical expertise or knowledge and experience in billing and/or coding in a clinical setting.

Other

Must possess the ability to identify supplies and/or other patient charges that are associated with specific procedures and/or surgeon practices. Knowledge of implant practices and equipment usage is extremely valuable based on the high cost of these line items.

Other skills necessary include an understanding of the entire OR patient charge process; guidelines for determining if an item is chargeable; charge data entry/integrity process; integration with patient billing. Uses correct grammar and punctuation in written documents. Writes letters, plans, reports, and memos that are easily understood and stated in a concise manner in keeping with the hospital standard. Past experiences have demonstrated good interpersonal skills and the ability to communicate effectively with others. Demonstrates the ability to address complex problems and propose viable solutions using logical and sound judgment. Good time utilization is necessary.

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.